Effectiveness of Kaltenborn Posterior Glide and Coracohumeral Ligament Positional Stretching on External Rotation Range of Motion in Patients with Adhesive Capsulitis
Keywords:Coracohumeral Ligament, Adhesive capsulitis, Kaltenborn, Positional stretching, CHL.
Background:Adhesive capsulitis is a common and debilitating medical condition which is treated by various
surgical and non-surgical treatments but there is no significant method universally. Physical therapists use
various shoulder mobilization techniques to improve the ROM. Radiographic and surgical evidence presents
tightened CHL to be a prime contributor to inadequate shoulder external rotation in individuals diagnosed
with adhesive capsulitis.
Objective: To determine the combined effectiveness of Kaltenborn posterior glide and coracohumeral
ligament (CHL) positional stretching on external rotation in patients with adhesive capsulitis.
Methods and Measures:A number of 30 subjects, both Male and Female with a primary diagnosis of
shoulder adhesive capsulitis by the physician were recruited. 15 subjects each were randomly assigned
to Group-A(Experimental) and Group-B(control). All subjects received 6 therapy sessions consisting of
moist heat, shoulder pendular and ROM exercises, Kaltenborn posterior glide and Coracohumeral ligament
positional stretching in Group-A. Moist heat, shoulder pendular and ROM exercises in Group-B. Pre-test
and post-test were carried out for both the groups and analysed using paired and independent t tests in an
Results: The experimental group(Group-A) mean VAS score had decreased from 6.27 to 3.73, SPADI mean
score decreased from 0.534 to 0.380 and also Goniometer (Shoulder external ROM) showed an improvement
from 29.2 to 35.33 but when intergroup analysis was done, it resulted in significance only for SPADI where
p < 0.05. Through this measure, we can state that the treatment protocol for group A had a significant
improvement in disability but not much on pain and ROM in patients with adhesive capsulitis.
Conclusion: All the interventions has brought about some improvement in each group post-treatment based
on the mean score but its significance vary. So, this study can be concluded that, the treatment protocol,
Kaltenborn posterior glide and CHL positional stretching could bring a significant difference with regard to
disabilty but not much of difference in pain and ROM in patients with adhesive capsulitis.
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